RE: cdi_talk digest: July 14, 2011
We only code BMI >40 when morbid obesity is documented as well. Since
often there is no RD consult or other MD intervention, we had IS build a
section into the nursing documentation That allows nursing to document
the use of bari equipment by checking the box for all the things they
use, and there is also a box to enter the number of staff required for
transfers. This is all tied to the obesity and reflects the increased
use of resources to make it a reportable condition.
Regarding salary, I took a significant cut from staff nursing to take
this position. I report to Clinical Quality which also has Utilization
Mgmt., and we are paid slightly less than UM because we don't take call.
Case managers report to nursing and are focused on clinical outcomes and
managing the episode of care with no financial piece to their work. We
make less than they do. We have a clinical ladder program called the CEO
club that allows bonuses to any employee from nursing to housekeeping
based on work or projects that demonstrate an impact on our pillars,
i.e. quality/safety, engagement/loyalty, budget/finance, process
standardization, or focus on the future.
often there is no RD consult or other MD intervention, we had IS build a
section into the nursing documentation That allows nursing to document
the use of bari equipment by checking the box for all the things they
use, and there is also a box to enter the number of staff required for
transfers. This is all tied to the obesity and reflects the increased
use of resources to make it a reportable condition.
Regarding salary, I took a significant cut from staff nursing to take
this position. I report to Clinical Quality which also has Utilization
Mgmt., and we are paid slightly less than UM because we don't take call.
Case managers report to nursing and are focused on clinical outcomes and
managing the episode of care with no financial piece to their work. We
make less than they do. We have a clinical ladder program called the CEO
club that allows bonuses to any employee from nursing to housekeeping
based on work or projects that demonstrate an impact on our pillars,
i.e. quality/safety, engagement/loyalty, budget/finance, process
standardization, or focus on the future.